HomeMy WebLinkAbout12-13378 CITY OF ZEPHYRHILLS �
5335-8TH STREET
(si3)�so-oo20 13378
PLUMBING PERMIT
Permit#:13378 Issued: 8/24/2012 Address: 6144 10TH ST
Permit Type: PLUMBING ZEPHYRHILLS, FL.
Class of Work: SEWERLINE REPLACEMENT Township: Range:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: 1,400.00 Total Fees: 46.00 Subdivision: TYSON
Amount Paid: 46.00 Date Paid: 8/24/2012 Parcel Number: 02-26-21-0080-00200-0250
Name: HARRIS SERVICES UNLIMITED Name: TERRILL, MICHAEL & REBECCA
Addr: 15752 HWY 301 N Address: 6144 10TH ST
DADE CITY, FL 33526 ZEPHYRHILLS, FL. 33542
Phone: 352)521-0707 Lic: Phone:
Woric Desc: SEWER LINE REPLACEMENT
PLUMBING FEE 46.00
1ST ROUGH PLUMB
2ND ROUGH PLUMB
SEWER B ^�F"�Z
WATER
FINAL
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80(2)(c)when extra inspection
trips are necessary due to any one of the following reasons: a)wrong address b)condemned work resulting
from faulty construction c) repairs or corrections not made when inspections called d)work not ready for
inspection when called e) permit not posted on job site� plans not a job site g)woMc not accessible.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
The payment of inspection fees shall be made before any further permits will be issued to the person owning same
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
improvements to your property. If you intend to obtain financing,consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans, Specifications and Fee Must Accompany Application. All work shall be pertormed in accordance with City
Codes and Ordinances.
CO RACTOR PER OFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
o io-io�-wtu c;ity oi Lephyrhiils Permit Application Fax-813-780-0021
Building Department
Date Received
Phone Contact for Permittin ��`^Z 2 Qrp __ z � �
Owner's Name �'� �C �/� Owner Phone Number �(3"?�Z , t-{S(�7
Owner's Address � �'"� C��� �� Owner Phone Number �— —1
Fee 3lmple Titleholder Name Owner Phone Number —�
Fee Simple Titlehoider Address
JOB ADDRESS �j 1 �-{ `��« �J� ��
LOT#�
SUBDIVISION PARCEL ID�!
�OBTAINED FROM PROPERTY TA7(NOTICE)
WORK PROPOSED B NEW CONSTR B ADD/ALT � SIGN O Q DEMOLISH
INSTALL REPAIR
PROPOSEO USE Q SFR Q COMM � OTHER
TYPE OF CON3TRUCTION Q BLOCK Q FRAME �� STEEL Q
DESCRIPTION OF WORK s��vr.%� L �//�' � L.E'
BUILDING SIZE SQ FOOTAGE� HEIt3HT
QBUILDING S � VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY [� W.R.E.C.
9
�PLUMBING a �c f oD �
/�
OMECHANICAL � VALUATION OF MECHANICAL INSTALLATION
QGAS [_] ROOFING Q SPECIALTY �] OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address
License#
PLUMBER COMPANY ` � S�i�l//G� �.yG�� �",�,�Y
31GNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address �S�� L(�3 O� �I�d�' e �( License# �/CG CJ 7�/
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# �—
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Butlding Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Mfnimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Pians w/Silt Fence installed,
Sanitary Fadlftles d�1 dumpster;Site Work Permit fo�subdivisions/large projects
COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new constructlon.
Minimum ten(10)working days after s�mittal date. Required onsite,Constructlon Plans,Stortnwater Plans w/Silt Fence i�stalled,
Sanitary Fadlitles 8 1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet comp8ance
SIGN PERMIT Attach(2)sets of Engineered Plans.
'""PROPERTY SURVEY requlred for all NEW constructlon.
,��,r„��.���.,,���.����...,.
Directiona. '"'�
Fill out applicallon completely.
Owner 8 Contractor sign back of applipdon,notarized
Ii over t2500,a Notice oi Commencement is required. (A!C upgrades over:7500)
"' Agent(for fhe contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of ApplicaUon Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences(Plof/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed" restrictions"
which may be more �estrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictfons.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to unde�take work, they may be required to be Ifcensed in accordance with state and local regutations. If the
contractor is not licensed as required by law, both the owner and conVactor may be clted for a misdemyanpoPyiolation
under state law. If the owner or intended contractor are uncertain as to what licensing requirements ma a I for the
intended work, they are advised to contact the Pasco County Building Inspection Divisfon—Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors,
he is advised to have the contractor(s) sign
portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the
contractor, that may be an indication that he is not properly licensed and is not entl8ed to permitting privileges in Pasco
County.
TRANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understan s
that Transportation Impact Fees and Recourse Recovery Fees may apply to the const�uction of new buildings, change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County O'dbe identified at he_tmenof
90-07, as amended. The undersigned also unde�stands, that such fees, as may be due,
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County WaterlSewer Impact
fees are due, they must be paid prior to permit issuance in accordance with applfcable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes, as amended): If valuation of work is $2,
500.00 or more, I
certify that I, the applicant, have been provided with a copy of the "Florida ConsUuction Lien Law—Homeowner's
Protection Guide" prepared by the Florida Depa�tment of Agriculture and Consumer Affairs. If the applicant is someone
othe�than the"owner", I certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to the"owner"prior to commencement.
CONTRACTOR'SIOWNER'S AFFIDAVIT: I certify that all the information in this app�ication is accurate and that all work
will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is
hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has
commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land deve�opment regulations in the jurisdiction. I also
certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is
my responsibility to identify what actions 1 must take to be in compltance. Such agencies include but are not limited to:
Department of Environmental Protection-Cypress Bayheads, Wetland A�eas and Environmentally Sensitive
Lands, Water/Wastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Nealth Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:
Use of fill is not allowed in Flood Zone"V" unless expressly permitted.
If the fill mate�ial is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating volume" will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
construction, I certify that fill will be used only to fill the area within the stem wall.
If fill material is to be used in any area, I certffy that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect ad)acent properties, the owne� may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots less than one (1)
acre which are elevated by fill, an engineered drainage plan is requfred.
If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not spec�ically included in the application. A
permit issued shall bens of the echnical codesenor shall i suaince of a pe mitp event thehBu ding 'Officeal from therteafter
set aside any provisio
requiring a correction of errors in plans, construction or vlolations of any codes. Every permit issued shall become invali
unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
the permit is suspended or abandoned for a period of six(6) months after the time the work is commenced. An extension
may be requested, in writing, from the Building Official for a Pe�consecutive da s,thee b is�consydeaed blandonedstrate
justifiable cause for the extension. If work ceases for ninety(90) Y �j
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMT RNEY Y FO EREPORDI� 'Fy�V �NTE TO OBTAIN FINANCING, CONSUL7
WITH YO R DER R AN
FLORIDA JURAT(F.S. 117.03)
OWNER OR AGENT CONTRACT
Subscrlbed and swom to(or afflrmed)before me thls Subscrtbed swo to(or a ed)before me this
bY yyho��/� e�sonally known to me o7��ave produced
Who is/are personally known to me or has/have produced �_._._. __ _....__ ____ "° _ as Identlficatlon.
as Identlficadon.
Notary Public
Notary Public
Commisslon No. Commission No.
ed, rfnted or stamped Name of Notary typed,printed or stamped
Name of Notary typ P